The Gist Healthcare Podcast

Congress reportedly has reached a deal that would ease cuts to Medicare physician payments in 2023. Payers will need to provide an online-based price comparison tool as part of a the latest CMS requirements going into effect on January 1st. And, online pharmacy Truepill could be in trouble with the DEA over allegations that it unlawfully dispensed stimulants for ADHD. Hosted on Acast. See acast.com/privacy for more information.

Blue Cross Blue Shield of Massachusetts is including health equity measures in new value-based payment contracts. The Biden Administration seeks to extend opioid treatment flexibilities put in place through the COVID-19 public health emergency.  And new data shows that overall U.S. healthcare spending slowed in 2021 as federal COVID funding subsided.  That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Two west coast nonprofit managed care insurers announced merger plans. Blue Cross Blue Shield of Michigan has struck new full-risk Medicare Advantage contracts with six large physician groups. And, a new study finds that emergency department physicians misdiagnose serious conditions when patients exhibit unusual symptoms. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The CDC says long COVID is responsible for thousands of deaths in the U.S. More for-profit healthcare organizations are reportedly at risk for credit default…with the vast majority of those being owned by private equity firms. And, new data shows the staffing challenges facing many not-for-profit hospital systems may be easing slightly. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

HHS signaled that healthcare systems can rely on COVID-19 public health emergency flexibilities as flu and RSV cases strain hospitals. CMS is proposing big changes to health insurance exchanges. And, researchers find that the COVID-19 vaccine saved the U.S. healthcare system more than $1 trillion. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A federal appeals court has struck down a Biden Administration policy protecting gender-affirming care under the Affordable Care Act’s nondiscrimination regulations.  A Montana law barring employers from mandating COVID-19 vaccines has been deemed unconstitutional in healthcare settings.  And, a new California law could bring more scrutiny to healthcare mergers & acquisitions. That's all coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The FDA has authorized the use of the Omicron-specific bivalent booster in children as young as six months. University of Michigan Health announced it will acquire Sparrow Health. And, a new study evaluates the risks of seniors undergoing major surgery. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Employers across the US are expecting a spike in health care costs in 2023. Mark Cuban Cost Plus Drug Company has partnered with the Purchaser Business Group on Health, a large employer coalition. And, former-Theranos executive Sunny Balwani has been sentenced to prison after being convicted for fraud. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

CMS is proposing a new rule to streamline prior authorization for payers. UnitedHealth Group’s proposed $5 billion acquisition of a home health provider is on pause. And, new research finds the incidence of heart inflammation following a COVID-19 vaccine is very low among young people. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Congress will likely repeal a COVID-19 vaccination mandate for US armed service members, despite opposition from the White House. New research finds that as many as 18 million Americans may lose their Medicaid coverage once the COVID-19 public health emergency ends. And, flu-related hospitalizations are on the rise. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.